Quiz: End Samester 2023

114. By 12 months of age all children should have given which of the following vaccines:

A a. doses of DPT, 3 doses of OPV, MMR B b. doses of DPT, 3 doses of OPV, small pox C c. doses of DPT, 2 doses of OPV D d. doses of DPT, 2 doses of OPV, Measles

115. One of the following is not a warning sign of poor development

A a. Puts toys in the mouth at 10 months. B b. Clenched hands at 3 months C c. Moro reflex present at 6 months. D d. Drooling at 18 months

116. One of the following conditions cannot lead to below average intelligence or mental retardation.

A d. Drooling at 18 months B b) Hypopituitarism C c ) Chronic lead poisoning D d) Congenital hypothyroidism

117. What is the most important test to obtain a diagnosis in a 14-year-old girl with primary amenorrhea, and short stature, who has a history of repaired coarctation of the aorta in infancy?

A a) sweat chloride testing B b) karyotyping C c) lymphocyte subset analysis D d) pelvic ultrasonography

118. You evaluate an 8-year-old girl with hyperactivity and inattentiveness, Which of the following manifestations is required to make a diagnosis of attention-deficit hyperactivity disorder?

A A. occurrence before the age of 10 years B B. concurrent learning disability C C. impulsivity D D. history of birth trauma

119. At a 4-month well child visit, a mother is distressed because her baby's grandmother believes she should have started feeding her baby solid food at 2 months of age. It is generally recommended that beikost (infant foods other than milk) be introduced into the infant's diet at about what age?

A a) 6 weeks B b) 3 weeks C c) 3 months D d) 6 months

119. An 18-month old child is brought in for your help. On inspection you note that the child is edematous, has a dark desquamating skin rash over most of the pressure points on the body, has very thin hair, and what hair is left is reddish in color. Of the following. what laboratory test is most likely to be present?

A a) serum albumin of 3.7 g/dl. B b) serum sodium of 143 meq/L C c) serum potassium of 2 meq/L. D d) Serum albumin of 2.3 g/dl.

120. A new mother asks you how much formula her 3 kg infant should be consuming daily. To give her an idea on how much fluid the child should be taking, you calculate out the approximate daily fluid requirement. Which of the following most closely resembles this child's daily fluid requirements?

A a. 900 mL B b. 700 mL C c. 500 mL D d. 300 mL

121. A 6-year-old unimmunized child has fever of 104°F (40°C) and cropped vesicles on the trunk with scattered scabbed lesions. Which of the following infections is the likely diagnosis?

A a) measles B b) smallpox C c) HHV-6 D d) varicella

122.Down's syndrome; doesn't include one of the following features:

A a) Ataxic gait B b) A third fontanelle C c) Duodenal atresia D d) Increased incidence of hypothyroidism

123. A 3-month-old infant has had upper respiratory symptoms for a few days and presents to the emergency department with respiratory distress, wheezing, and hypoxia. You diagnose bronchiolitis. What is the most common cause of acute bronchiolitis in infants?

A a) -respiratory syncytial virus B b) influenza virus C c) parainfluenza virus D d) cytomegalovirus

124. A 12-year-old boy has migratory arthritis with red, warm, and swollen joints. He has serologic evidence of recent group A streptococcal infection. Arthritis in this condition is characterized by which of the following?

A a) usually nonpainful B b) heals without deformity C c) appears after the fever subsides D d) seen only in patients with concurrent carditis

125. A 2-year-old child presents with painful swelling of the hands and feet. Laboratory evaluation reveals hemoglobin of 9 g/dL with white blood cell count of 11,500 and platelet count of 250,000. Which additional laboratory test will support your diagnosis?

A a) skeletal survey B b) VDRL testing C c) bone marrow aspiration D d) hemoglobin electrophoresis

126. A 7-year-old boy has abdominal pain and a rash that started several days ago. On examination, you notice a palpable purpuric rash over his calves and buttocks with swelling of both ankles. Abdominal examination is unremarkable. What is the most likely laboratory finding?

A a) decreased platelet count B b) hypochromic microcytic anemia creatinine C c) elevated blood urea nitrogen and D e) normal clotting parameters

127. An increase incidence of leukemia has been noted in children with

A A. Downs syndrome B B. Cystic fibrosis C C. Duodenal atresin D D. Hiatal hernin

128. The MOST objective indicator of adequate breast milk intake by the infant is

A a) Voiding pattern B b) Stooling pattern C C) Rate of weight gain D d) Feeding frequency

129. At 5-month-old infant, the daily caloric requirement is about:

A a) 25 Keal/kg/day B b) 40 Kcal/Kg/day C c) 75 Kcal/Kg/day D E)130 Kcal/kg/day

130. Regarding vitamin D, one of the following is incorrect:

A a) The required prophylactic dose is 800 IU B b) Sunlight passed through glass is deprived of anti-rachitic properties C c) Vitamin D is metabolized in the liver and kidney D e) Excessive dose is safe

131. Ten-year-old child has intermittent symptoms of mild asthma. Which treatment option is most appropriate?

A b) Oral theophylline B c) Sodium Cromolyn C d) Daily inhaled corticosteroid D e) Inhaled B2 agonist as needed for symptoms

132.Which is the treatment of choice for anaphylaxis?

A a) Diphenhydramine orally B b) Diphenhydramine by intravenous infusion C c) Aqueous epinephrine (1:1.000) by subcutaneous injection D d) Aqueous epinephrine (I: 1.000) by intramuscular injection

133. Long term immunity doesn't follows one of the following infections

A A) Rubella B B) Tetanus C c) Measles D d) Chickenpox

134.The following manifestations of acute rheumatic fever, which is not treated by salicylate or steroid therapy?

A a) Carditis B b) Abdominal pain C c) Arthritis D D) Chorea

139. The earliest sign of hydrocephalus is

A a) Head/chest ratio more than one at 3 months B b) Sun-set appearance of the eye C d) Papilledema D e) Increasing percentiles of the head circumference curve

140. In cases of tetany, one of the following is incorrect:

A a) Serum Calcium level 6mg/100ml B b) Responds well to intramuscular calcium chloride C c) Can occur in cases of hypomagnesaemia D d) May happened during treating Rickets

140. In cases of tetany, one of the following is incorrect:

A a) fever B b) hilar lymphadenopathy on roentgenograph C c) night sweats D e)hepatosplenomegaly

142.The following is not a common manifestation of acute leukemia

A a) Hepatosplenomegaly B b) Persistent fever C c)Jaundice D d) Petechiae and bruises

143. Of the following , the criteria of rheumatic fever which does not need evidence of recent group A streptococcal disease is

A a) Migratory arthritis B b) Sydenham chorea C d) Subcutaneous nodule D c) Pancarditis

144. Which of the following is NOT a cause of microcytic anemia?

A a) Thalassemia B b) Anemia of chronic disease C c) Iron deficiency anemia D d)Pancytopenia

145. Beta 2 agonist inhalation therapy given in asthma exacerbation every 20 minutes for?

A a) The 1st hour B b) The 1st two hours C c) The 1st 3 hours D d) 24 hours

146. Which of the following have been shown to be effective in the treatment of moderate to severe viral croup in children?

A a) Nebulized adrenaline 1:1000 B b) Oral dexamethasone C c) Nebulized dexamethasone D d) Nebulized budesonide

147. The standard care for MOST children with severe hemophilia is

A a) Prevention by factor VIII replacement therapy to prevent spontaneous bleeding and early joint deformities B b) Aggressive treatment by factor VIII replacement therapy when significant bleeding occurs C c) Avoid trauma D d) Avoid aspirin and other NSAID

148. Mumps is a highly contagious viral infection transmitted from person to person, which of the following are not the symptoms of the mumps virus?

A a) Fever B b) Muscle aches C c) Swollen salivary glands Fever D d) Maculopapular skin rashes

149. The most useful information in diagnosing the cause of fever of unknown origin (FUO ) comes from

A a) Laboratory test results B b) History and physical examination C c) Diagnostic scanning D d) Provocative tests

150. One of the followings is not a cause of Jaundice that appears on the first day of life

A a) TORCH infection B b) Erythroblastosis fetalis C C)Sepsis D d) Fetomaternal transfusion

151. One of the following specific antidotes for the corresponding drug over dosage, is incorrect:

A a) Paracetamol: acetylcysteine B b) Isoniazid; sodium thiosulphate C c) Iron: desferroxamine D d) Pethidine: naloxone

152. Regarding manifestation of poisoning; one of the following is incorrect:

A a) Barbiturates cause hypothermia B b) Organophosphate cause constricted pupils C c) Salicylates cause slow respiration D d) Digitals cause bradycardia

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